| NPI | 1265415533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 13766) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 160082) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-10-08 |